Provider Demographics
NPI:1922765775
Name:MCGILL MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:MCGILL MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:FITZGERALD
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:843-245-7974
Mailing Address - Street 1:P.O. BOX 1467
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571
Mailing Address - Country:US
Mailing Address - Phone:848-289-5078
Mailing Address - Fax:
Practice Address - Street 1:335 N. TOM GASQUE AVE.
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571
Practice Address - Country:US
Practice Address - Phone:843-289-5078
Practice Address - Fax:843-289-5094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport